Organization Name: | PONDERA MEDICAL CENTER |
NPI Number: | 1962492694 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WAYNE OGBURN (CEO) |
Mailing Address: | 805 Sunset Blvd Conrad |
State: | MT US |
Postal Code: | 594251721 |
Phone Number: | 4062715566 |
Fax Number: | 4062715569 |
NPI Enumeration Date: | 10/25/2005 |
NPI Last Update Date: | 07/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |